2019 Session

Budget Amendments - SB1100 (Committee Approved)

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Medicaid Mental Health Professional Rates

Item 303 #2s

Item 303 #2s

First Year - FY2019 Second Year - FY2020
Health and Human Resources
Department of Medical Assistance Services FY2019 $0 FY2020 $2,645,706 GF
FY2019 $0 FY2020 $4,560,751 NGF

Page 315, line 7, strike "$14,974,837,166" and insert "$14,982,043,623".

Page 342, after line 27, insert:

"YYY.  Effective July 1, 2019, the Department of Medical Assistance Services shall amend the State Plan for Medical Assistance to increase rates for outpatient psychiatric services, limited to those as defined in 12VAC30-50-140 (D) and (P), 12VAC30-50-150 (D) and (E), 12VAC30-50-180 (C) and (D), and 12VAC30-130-5020 and by 21 percent to the equivalent of 100 percent of the 2018 Medicare rates and create a separate rating category for those outpatient psychiatric services.  The department shall have the authority to implement these reimbursement changes prior to the completion of the regulatory process."


(This amendment provides $3.3 million from the general fund and $4.5 million from federal Medicaid matching funds to increase the Medicaid rates for licensed mental health professionals (LMHPs), psychologists, and licensed clinical social workers. These rates are lower than Medicare and commercial rates, resulting in fewer providers accepting Medicaid patients in need of these services.)